Adherence to diagnostic guidelines and quality indicators in asthma and COPD in Swedish primary care.
(2009) In Pharmacoepidemiology and Drug Safety 18. p.393-400- Abstract
- PURPOSE: To study the clinical evaluation and treatment of patients with asthma and COPD in primary care in Sweden, with a focus on adherence to recommended guidelines and quality indicators. METHODS: All visits at health care centres in Skaraborg, Sweden, are documented in computerized medical records constituting the Skaraborg Primary Care Database (SPCD). In a register-based retrospective observational study, all patients diagnosed with asthma or COPD during 2000-2005 (n = 12 328) were identified. In a 5% random sample (n = 623), information on performed investigations at initial visits and at follow-up during 2004-2005 was collected. Compliance with procedures as recommended by national guidelines was used for quality assessment.... (More)
- PURPOSE: To study the clinical evaluation and treatment of patients with asthma and COPD in primary care in Sweden, with a focus on adherence to recommended guidelines and quality indicators. METHODS: All visits at health care centres in Skaraborg, Sweden, are documented in computerized medical records constituting the Skaraborg Primary Care Database (SPCD). In a register-based retrospective observational study, all patients diagnosed with asthma or COPD during 2000-2005 (n = 12 328) were identified. In a 5% random sample (n = 623), information on performed investigations at initial visits and at follow-up during 2004-2005 was collected. Compliance with procedures as recommended by national guidelines was used for quality assessment. RESULTS: Among 499 patients with asthma, 167 (33%) were investigated with spirometry or Peak Expiratory Flow (PEF) during initial visits in agreement with guidelines. Correspondingly, 40 out of 124 patients with COPD (32%) were investigated with spirometry. During follow-up, evaluation in agreement with guidelines was performed in 130 (60%) of patients with asthma and in 35 patients out of 77 (45%) with COPD. Prescribing of ICS reached quality target, still every second patient made an acute visit during follow-up. CONCLUSION: Adherence to recommended guidelines in asthma/COPD was low. Acute visits were common and despite the prescribing of ICS according to recommendations, patients still seem uncontrolled in their disease. There is a need for quality improvement in the clinical evaluation and treatment of patients with asthma and COPD. Copyright (c) 2009 John Wiley & Sons, Ltd. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1367791
- author
- Weidinger, Paolina LU ; Nilsson, J Lars G and Lindblad, Ulf LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Pharmacoepidemiology and Drug Safety
- volume
- 18
- pages
- 393 - 400
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- wos:000265987100007
- pmid:19288473
- scopus:67649391357
- pmid:19288473
- ISSN
- 1053-8569
- DOI
- 10.1002/pds.1734
- language
- English
- LU publication?
- yes
- id
- 2b1a1208-0eb4-4a95-9140-496f35ca0098 (old id 1367791)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19288473?dopt=Abstract
- date added to LUP
- 2016-04-04 07:33:02
- date last changed
- 2022-01-29 02:16:40
@article{2b1a1208-0eb4-4a95-9140-496f35ca0098,
abstract = {{PURPOSE: To study the clinical evaluation and treatment of patients with asthma and COPD in primary care in Sweden, with a focus on adherence to recommended guidelines and quality indicators. METHODS: All visits at health care centres in Skaraborg, Sweden, are documented in computerized medical records constituting the Skaraborg Primary Care Database (SPCD). In a register-based retrospective observational study, all patients diagnosed with asthma or COPD during 2000-2005 (n = 12 328) were identified. In a 5% random sample (n = 623), information on performed investigations at initial visits and at follow-up during 2004-2005 was collected. Compliance with procedures as recommended by national guidelines was used for quality assessment. RESULTS: Among 499 patients with asthma, 167 (33%) were investigated with spirometry or Peak Expiratory Flow (PEF) during initial visits in agreement with guidelines. Correspondingly, 40 out of 124 patients with COPD (32%) were investigated with spirometry. During follow-up, evaluation in agreement with guidelines was performed in 130 (60%) of patients with asthma and in 35 patients out of 77 (45%) with COPD. Prescribing of ICS reached quality target, still every second patient made an acute visit during follow-up. CONCLUSION: Adherence to recommended guidelines in asthma/COPD was low. Acute visits were common and despite the prescribing of ICS according to recommendations, patients still seem uncontrolled in their disease. There is a need for quality improvement in the clinical evaluation and treatment of patients with asthma and COPD. Copyright (c) 2009 John Wiley & Sons, Ltd.}},
author = {{Weidinger, Paolina and Nilsson, J Lars G and Lindblad, Ulf}},
issn = {{1053-8569}},
language = {{eng}},
pages = {{393--400}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Pharmacoepidemiology and Drug Safety}},
title = {{Adherence to diagnostic guidelines and quality indicators in asthma and COPD in Swedish primary care.}},
url = {{http://dx.doi.org/10.1002/pds.1734}},
doi = {{10.1002/pds.1734}},
volume = {{18}},
year = {{2009}},
}